Preoperative consultation interwines anesthesiology, surgery and internal medicine, Its goal is the efficient transfer of information in each consultant's speciality to other members of the team caring for the patient, thus increasing the
liklihood
of
satisfactory outcome and decresaing the mortality.
Form January 1988 to December 1992 at the anesthetic department of Ewha Womans University Hospital, 775 patients who were consulted to department of anesthesiology preoperatively were analized annually, according to age, ASA classification,
departments,
causative diseases.recommendations and anesthetic methods.
@ES The results were as follows :
@EN 1) The ratio of anesthetic consultation to operation was 3.8%. Annually consultation ratio was increased about twice from 2.0% in 1988 to 4.1% in 1992.
2) The number of 61~70 years of age was of age was the greatest number of cases as 156 cases (20.1%), each 132 cases (17.0%) were in 51~60 and 71~80 years of age. 45 cases (5.9%) over 81 years of age and 26 cases (3.4%) under l year of age. Over
61
years of age were 333 cases (43.0%).
3) According to ASA clssification. 406 eases (52.4%) in class 2 was the greatest and the order was 332 cases (42.9%) in class 3.22 cases (2.8%) in class 4 The almost cases were in class 2 and 3.
4) Comparing between departments. The order of the greatest number of cases was 239 cases (30.9%) of orthopedic surgery, 151 cases (19.5%) of general surgery, 131 cases (16.9%) of urology and 114 cases (14.7% of chest surgery.
5) Comparing between causative diseases. The order of the greatest number of cases was 389 cases of repiratory diseases, 326 cases of cardivoascular diseases. 124 cases of endocrine disease and 89 cases of hepatic diseases.
6) About preoperative recommendations, the number of the checklists for the respiratory diseases was 249 cases 173 cases for the cardiovasclar disease and 153 cases for the hematologic diseases. 177 cases was anesthetic permission that was taken
by
anesthesiologist with sufficient explanations to patients and relatives about the risk of anesthesia and surgery. The number of consultation to other department was 96 cases and 272 cases was no more necessaries of managements.
7) According to anesthetic managements. the number of general anesthesia was 484 cases (62.5%) and that of regional anesthesia was 159 cases (20.5%) Among the regional anesthesia the incidence of epidural anesthesia was increased annually and up
to 96
cases (12.4%) and that of spinal anesthesia was decreased to 57 cases (7.3%).
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